What is SmartPill box?

To improve medication adherence we developed The Smart Pillbox, with a web-based application and mobile application to help patients take their medications. The device addresses the functional issues of adherence, portability, monitoring, notification, and cleaning.

resna.org - The Smart Pill Box - RESNA

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Medication adherence is a significant problem the healthcare system currently faces. Roughly 50% of patients with chronic illnesses do not take their medications as prescribed. [1] Poor medication adherence can increase morbidity and death in patients. It has been estimated that poor medication adherence costs the United States $100 billion per year. [2] In the World Health Organization’s 2003 report [3], Adherence to long-term therapies, evidence for action, Haynes [4] was quoted that “increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvement in specific medical treatments.” According to Statistics Canada [5], the average Canadian, in 2005, had 14 prescriptions for that year and Canadians between the ages of 60 and 79 had 35 prescriptions in 2005. Canadians, 80 years and older, received on average 74 prescriptions in 2005. Over 75% of individuals over 65 years of age are prescribed prescription medications and they take three or more medications per day. [6] Reach [7] states that: The information that a patient must remember in order to take just one pill is actually complex and is made up of seven properties: the name of the drug, for which disease it is used, how to take it, the number of daily intakes, when to take it (before, during, or after a meal), dosage, and duration of the treatment. The complexity of medication regimens and the pill burden patients face impacts medication adherence.

BACKGROUND

There are a few different devices that are widely available to patients to aid in medication adherence. Dosettes are commonly used by patients and are offered in a variety of sizes and dosing schedules. However, dosettes can be confusing to fill and their basic design offers no notification or monitoring features and they are rarely cleaned by their users. Blister packaging is available at most pharmacies and patients with complex medication schedules or high pill burdens often use this service. Blister packaging ensures that the medication is correctly scheduled for a patient, but does not guarantee adherence. Patients do not receive notifications to take their medication and therefore the patient must remember to take their medication. Individuals with arthritic hands may find it hard to remove the pills from the blister cards and this could negatively affect adherence. MedSignals® is a medication device that is currently on the market. [8] It is designed with four bins (one bin per pill type) and is programmed to provide notifications to the user at scheduled times. It monitors medication adherence by monitoring when a door to a bin is opened. Problems with the MedSignals® device were found when the device was tested with two patients at the Glenrose Rehabilitation Hospital. The bins were small, which made it difficult for individuals to remove the medication from the bin. It was difficult to program the device and the device only allowed for four medications. The monitoring of the device was inaccurate, because the patient opened the bin’s doors multiple times because of pill spillage and confusion. Finally, the design of the device was counter-intuitive. The patient had to open multiple bins to remove their scheduled pills for a particular dosage time.

DESIGN OBJECTIVE

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How is the 3-day liver cleanse juice diet done? Morning detox tea. Breakfast drink. Supplements. Lunch drink. Supplements (multivitamins, omega-3 fatty acids, and probiotics) Snack drink. Dinner drink. Detox ultra-bath.

medicinenet.com - 3-Day Juice Cleanse: Signs of Successful Liver Detox - MedicineNet

The 3-day juice cleanse is intended to detoxify the liver. Learn about juice cleanse claims, potential benefits, and side effects The 3-day juice cleanse is intended to eliminate toxins and nourish the body with nutrients that can help it repair itself. The goal is to give your digestive system a break from having to process solid foods and allow it time to rejuvenate. Learn about juice cleanse claims, potential benefits, and side effects.

What is the 3-day juice cleanse?

A juice cleanse, often called a juice fast, is a detox diet that involves drinking only raw vegetable and fruit juice for 3 days. According to juice cleanse advocates, the diet fills the body with phytonutrients and antioxidants, protecting the body from free radical damage and eliminating toxins. No solid food is eaten while doing a juice cleanse. Juice cleanse proponents claim that it helps promote your body's natural detox processes by removing sugar, caffeine, processed foods, and other energy-depleting elements from the diet. However, there is no conclusive research to back up these assertions.

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